Nicholas Macmillan Email & Phone Number

United States

Securing positive national and regional reimbursement and coverage policy for Theranica’s Nerivio with medical benefit payers by utilizing new and existing relationships with key influencers and decision makers.Theranica is a Prescribed Digital Therapeutics company devoted to developing and commercializing clinically effective, non-invasive, personal, digitally connected medical devices for treatment and management of migraine and other pain disorders. We believe everyone deserves an enhanced quality of life without pharmacological side effects.

Respiratory-focused projects successfully completed across a broad base of customers, channels, and products including:• Clinical, sales and marketing, payer-reimbursement, performance improvement, education, and program management• Manufacturers, suppliers, and GPOs• Sleep, oxygen, and ventilationLet’s talk about your next business objective and make a plan to address it!

Critical front-line team member focusing on market penetration strategies including government and third-party commercial insurance reimbursement, regulatory policies, and provider marketing and education for respiratory-related products. • Key milestones:  Advanced and solidified Medicaid coverage and reimbursement for multi-function ventilation (HCPCS E0467) in forty-eight states  Successfully promoted less-restrictive Centers for Medicare and Medicaid (CMS) coverage policy for HCPCS E0467  Resolved key commercial reimbursement obstacles with Cigna, Humana, United Healthcare, and others• Ushered government reimbursement and regulatory policies and third-party commercial insurance reimbursement, particularly as it relates to understanding and interpreting payer coverage policies for VOCSN and other respiratory-related products.• Served as a subject matter expert for reimbursement, developing a supportive and collaborative relationship with Ventec team members, customers, and clinical communities of interests for the use, coverage, and reimbursement of Ventec products.• Development and management of key opinion leaders, user groups, and group purchasing organizations (GPOs).

Lubbock, Texas Area

Manages The MED Group’s Respiratory, Rehab and Member Business Services Networks benefiting its Members and develops and advances MED’s organizational strategy. Working collaboratively with the divisional trade relations group, the Network team drives value to MED contracted Business Partners in multiple product categories. The role includes development and implementation of programmatic content, data, knowledge and peer networking for Network Members and maintains relevant trade association participation. The Networks provide business and clinical solutions to help Members grow revenue, market to healthcare providers, reduce costs and sustain and expand profit margins. The MED Group is a wholly owned subsidiary of Managed Health Care Associates, Inc. (MHA).

Lubbock, Texas Area

Responsible for managing The MED Group’s (a wholly owned subsidiary of Managed Health Care Associates, Inc. (MHA)) Respiratory and Sleep Network and serves as a subject matter expert for both the business and clinical operations of Network members. Also works collaboratively with the divisional trade relations group to bring value to MED contracted Business Partners in the respiratory and sleep product categories. In addition, the role includes development and implementation of programmatic content, data, knowledge and peer networking for Members participating in the Network and relevant trade associations. The Network provides business and clinical solutions and revenue creation opportunities to help Members grow revenue, market to healthcare providers, reduce costs, sustain and expand profit margins.

Indianapolis, Indiana Area

Working in coordination with Masimo sales and management teams to support health care facilities evaluation and implementation of Masimo's technology.

Stevensville, Md

Responsible for developing and managing the global high flow therapy line in home care from product development through P & L.

Orlando, Fl

Responsible for creating, directing and evaluating respiratory home care programs and subsequent training and development.

Somerset, Pa

Responsible for the global sleep product line from customer requirement to launch.

Education record

Respiratory Care